Application of Autobloodtransfusion Technique During Operation on Massive Haemorrhage_West China Medical Journal

Authors：

YU Tao , ZHENG Xiangde , WANG Yaohua

The Department of Anesthesiology of Dazhou Central Hospital, Dazhou Sichuan 635000,China;

Corresponding author：

Keywords：

血液回收; 自体输血; 循环; 凝血

Video：

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目的:探讨自体血液回收技术对循环、血细胞和凝血功能的影响及应用效果。方法: 选择急诊大失血手术患者27例,采用ZITI-2000型血液回收机回收血液,经过滤、离心、清洗后回输给患者。分不同时点观察HR、SBP、MAP、DBP、SPO2的变化,并监测RBC、Plt、HB、Hct、FIB、PT、APTT的变化。计算输血量和异体输血率。随机选择8例进行回收原血和回输血血细胞学比较。结果:(1)术前血压较低,心率较快,回输血液后,HR显著降低(P lt;0.01),SBP和MAP显著升高(P lt;0.01)。(2)术前RBC、HB和Hct均低于正常水平,回输后各时点均升高明显(P lt;0.01)。术前FIB和Plt低于正常水平,回输后各时点增高,但无显著意义。PT、APTT无明显变化。(3)回收原血平均每例3735mL,回输血平均每例1589mL,异体输血率为25％。(4)回输血RBC、HB和Hct均显著高于回收原血(P lt;0.01)。结论:自体血液回收技术用于临床安全可靠,能有效维持循环的稳定,对凝血功能无明显影响,节约血源,减少异体输血。

Citation： YU Tao,ZHENG Xiangde,WANG Yaohua. Application of Autobloodtransfusion Technique During Operation on Massive Haemorrhage. West China Medical Journal, 2009, 24(8): 1995-1997. doi: Copy

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1. 王心田,屠伟峰.新世纪的血液保护技术与展望[J]·实用医学,2003,19(3):219-221.
2. 何开华,闵苏,张光兴,等.回收式自体输血的临床研究[J].重庆医科大学学报,2003,28(2):210-212.
3. SALEM M R. Blood sonservation in the surgical patient[M]. Baltimore:Williams ＆ Wilkins,1996:254.
4. 李艳萍,王旭东,钟亮,等.血液回收技术在骨科大手术中的应用[J].临床麻醉学杂志,2001,17(6):297-299.
5. SCHMIDT H, FOLSAGAARD, MORTENSEN P E. Impact of autotransfusion after coronary artery bypass grafting on oxygen transport[J]. Acta Anesthesiol scdand,1997,41:995.
6. 陈方祥,刘怀琼,葛衡江,等.体腔血自体回输与凝血纤溶功能的变化[J].中华麻醉学杂志,1998,18:82-83.
7. 孙新艳,宋冰冰,王俊科,等.自体血回输对病人血浆肝素含量的影响[J].临床麻醉学杂志,2002,18(4):185.
8. 王世端,王明山,袁莉,等.全自动血液回收系统应用于巨大肝血管瘤切除术一例[J].中华麻醉学杂志,1998,18:746.

West China Medical Journal

Application of Autobloodtransfusion Technique During Operation on Massive Haemorrhage

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